Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 44 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Saroj BudhirajaYour feedback matters!
Excellent ! Really great ! Unbelievable that in india also things can be so smooth !
I am 29 years old unmarried girl. My weight is 51 kg. My period lasts only for 1 day with less bleeding. My hemoglobin is 12. My doctor has said that I have pcos. I am taking evecare syrup and mefomin 500 sr tablets and doing yogasan daily. Kya mere period time bad jayega?
Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. So here are the causes and risks for this condition.
Causes: There are many causes of infertility. It may be due to a condition present in one or both partners. As per a medical study, 20% of the cases of infertility are due to males, while 40% to 50% cases are due to problems in the female partner. 30% of the cases suffer from infertility due to problems in both males and females. Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive.
While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies.
Risks: There are a number of factors that put a male or a female at risk of infertility. Being in your mid 30s usually has an adverse effect on the ovulation and production of well functioning sperm. Further, smoking and tobacco are among the main causes of infertility in either partner.
Excessive alcohol consumption may also lead to this problem. Being overweight or underweight can also make a person infertile. Further, not getting enough exercise and routine activities out of your day, can lead to this condition as well. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Cancer indicates the growth of certain unusual cells, generally uncontrolled in nature, in any part of your body. It may also refer to a malignant tumor and it can affect any organ or any part of your body. There are many different cancers accordingly, such as lung cancer, bladder cancer, skin cancer or blood cancer. Ayurveda offers effective measures for preventing cancer.
Read on to find more about the tips and get better prepared to fight this killer:
- According to Ayurveda, having fresh foods can help you to prevent cancer. Consuming more of green leafy vegetables and fresh fruits may prove to be helpful.
- Avoiding fat based foods or fried foods can be effective in preventing cancer. Strike off hydrogenated fats (such as cookies, peanut butter, crackers etc) or saturated animal fats from your diet.
- Exercising on a regular basis may be very helpful. Stretching exercises, walking, breathing exercises and aerobics are considered to be useful preventive measures for cancer.
- Meditation and yoga are also effective ways to prevent cancer. These can help you to reduce stress and remain calm.
- Drinking green tea regularly can be very useful for killing any growth of cancerous cells in your body and thus help you to prevent cancer.
- Cutting down on foods with higher quantities of sugar can help you to prevent cancer.
- Include foods replete in vitamin D and vitamin C or citrus foods as these help to combat many kinds of cancer.
- Incorporate spices like turmeric in your daily cooking regimen. The 'curcumin' present in turmeric coupled with a few other accompanying properties can help to prevent the growth of cancer cells in your body.
- Garlic, whether consumed raw or cooked, can help you to fight the killer that cancer is.
Boerhaave first described the spontaneous rupture of the esophagus in 1724. It typically occurs after forceful emesis. Boerhaave syndrome is a transmural perforation of the esophagus to be distinguished from mallory-weiss syndrome, a nontransmural esophageal tear also associated with vomiting. Because it often is associated with emesis, boerhaave syndrome usually is not truly spontaneous. However, the term is useful for distinguishing it from iatrogenic perforation, which accounts for 85-90% of cases of esophageal rupture.
Diagnosis of boerhaave syndrome can be difficult because often no classic symptoms are present and delays in presentation for medical care are common. Approximately one third of all cases of boerhaave syndrome are clinically atypical. Prompt recognition of this potentially lethal condition is vital to ensure appropriate treatment. Mediastinitis, sepsis, and shock frequently are seen late in the course of illness, which further confuses the diagnostic picture.
See can't-miss gastrointestinal diagnoses, a critical images slideshow, to help diagnose the potentially life-threatening conditions that present with gastrointestinal symptoms.
A reported mortality estimate is approximately 35%, making it the most lethal perforation of the gi tract. The best outcomes are associated with early diagnosis and definitive surgical management within 12 hours of rupture. If intervention is delayed longer than 24 hours, the mortality rate (even with surgical intervention) rises to higher than 50% and to nearly 90% after 48 hours. Left untreated, the mortality rate is close to 100%.
Esophageal rupture in boerhaave syndrome is postulated to be the result of a sudden rise in intraluminal esophageal pressure produced during vomiting, as a result of neuromuscular incoordination causing failure of the cricopharyngeus muscle to relax. The syndrome commonly is associated with overindulgence in food and/or alcohol. The most common anatomical location of the tear in boerhaave syndrome is at the left posterolateral wall of the lower third of the esophagus, 2-3 cm proximal to the gastroesophageal junction, along the longitudinal wall of the esophagus. The second most common site of rupture is in the subdiaphragmatic or upper thoracic area. [1, 2]
Although likely underreported, the incidence of boerhaave syndrome is relatively rare. A 1980 review by kish cited 300 cases in the literature worldwide.  a 1986 summary by bladergroen et al described 127 cases.  of these, 114 were diagnosed antemortem; the others were diagnosed at autopsy. Overall, boerhaave syndrome accounts for 15% of all cases of traumatic rupture or perforation of the esophagus.
Race-, sex-, and age-related demographics
Cases have been reported in all races and on virtually every continent, affecting males more commonly than females, with ratios ranging from 2: 1 to 5: 1.
Boerhaave syndrome is seen most frequently among patients aged 50-70 years. Reports suggest that 80% of all patients are middle-aged men. However, this condiction has also been described in neonates and in persons older than 90 years. Although no clear explanation exists for this, the least susceptible age group appears to be children aged 1-17 years.
Prognosis is directly contingent on early recognition and appropriate intervention. Early diagnosis of boerhaave syndrome allows prompt surgical repair. Diagnosis and surgery within 24 hours carry a 75% survival rate. This drops to approximately 50% after a 24-hour delay and approximately 10% after 48 hours.
The mortality rate is high. Esophageal perforation is the most lethal perforation of the gi tract. Survival is contingent largely upon early recognition and appropriate surgical intervention.
Overall, the mortality rate is approximately 30%. Mortality is usually due to subsequent infection, including mediastinitis, pneumonitis, pericarditis, or empyema.
Patients who undergo surgical repair within 24 hours of injury have a 70-75% chance of survival. This falls to 35-50% if surgery is delayed longer than 24 hours and to approximately 10% if delayed longer than 48 hours.
Cases of patients surviving without surgery exist but are rare enough to warrant case reports in the medical literature.
Esophageal rupture may lead to the development of septicemia, pneumomediastinum, mediastinitis, massive pleural effusion, empyema, pneumomediastinum, or subcutaneous emphysema.
If the esophageal rupture extends directly into the pleura, hydropneumothorax is expected. In adults, this occurs more commonly on the left side of the pleura. In neonates, esophageal rupture usually occurs on the right side.
After esophageal rupture, free air enters the mediastinum and also may spread to the adjacent structures, resulting in mediastinal abscess or superimposed secondary infection.
Other complications include acute respiratory distress syndrome, pneumomediastinum, pneumothorax, and hydrothorax.
Hi I message you few days ago about .which I told you about that my boyfriend did vaginal outside sex with me. He rubbed his penis outside my vagina ang ejaculated on my vagina. He didn't intercourse with me.in which I ws worried about pregnancy. So some of doctors told me to wait for periods. So I waited. And my periods come now. But problem is that I have less periods than before. Can you please tell me tht. Now there is need to be worry for pregnancy now or not? Now I have to do pregnancy test or not?
Atherosclerosis is a disease in which plaque builds up inside your arteries. Plaque is a sticky substance made up of fat, cholesterol, calcium, and other substances found in the blood. Over time, plaque hardens and narrows your arteries. That limits the flow of oxygen-rich blood to your body.
Atherosclerosis can lead to serious problems, including:
- Coronary artery disease. These arteries supply blood to your heart. When they are blocked, you can suffer angina or a heart attack.
- Carotid artery disease. These arteries supply blood to your brain. When they are blocked you can suffer a stroke.
- Peripheral arterial disease. These arteries are in your arms, legs and pelvis. When they are blocked, you can suffer from numbness, pain and sometimes infections.
Atherosclerosis usually doesn't cause symptoms until it severely narrows or totally blocks an artery. Many people don't know they have it until they have a medical emergency.
A physical exam, imaging, and other diagnostic tests can tell if you have it. Medicines can slow the progress of plaque buildup. Your doctor may also recommend procedures such as angioplasty to open the arteries, or surgery on the coronary or carotid arteries. Lifestyle changes can also help. These include following a healthy diet, getting regular exercise, maintaining a healthy weight, quitting smoking, and managing stress
Hidoctor Actually my period date was on 10.03.2015 but till 27.03.15 i did not get my period i had my pragnency test on my 5th i.E. On 15.03.15 it was negative again i took on 17.03.15 it was negative again on 22.03 i took my test it was negative when should i taka my pragency test again please suggest me the correct date.
Does hcg 5000 IUI injection and duphaston delay the periods. So my period is 2 days due. And every month I will have spot before periods but this time I do not even find any spot. What does it mean.
I am 26 years old female suffering from low ferritin since last year after I had typhoid. I took dexorange for 1 and half month but my ferritin level did not increase. I have my periods regularly. My ferritin is 10.7, haemoglobin is 10 and RDW-CV is 16.7%. These are according to my haemogram test. please suggest some medicine for my decreased iron levels.
I'm 29 years old 5 months before married .unfortunately I had did two times medical abortion first in 9th April for 5 weeks pregnant and it was proceeded successfully after getting scan it is clear and then after 11th may I got my periods as normal as earlier for 4-5 days . Then after some days I feel same symptoms of pregnancy and I did pelvic scan on 12th june for conformation then I found that I'm pregnant of 4-5 weeks and then I had few blood cramps on 16th june then Dr. suggest me to do another pelvic scan and after that sonography reports shows that there is no growth in sac and I'm also feeling very uncomfortable then Dr. suggest me to do medical abortion as soon as possible then she prescribed me some abortion medicine 2 tabs of 200 mg milestone to take in early morning in empty stomach on 18th june and then after 2 days on 20th June 4 tabs of 200 mg misoprostol taken bucally in the gap of one hr then I started heavy bleeding with cramps and clots for two days then after it is get normal as period bleeding for 6 days then after gap of 2-3 days I get few bleeding then it's stopped and on 4th July today I'm also getting some bleeding today my gyeac advice me to do pelvic scan for conformation of successful expelled of pregnancy it is done in bleeding or I should wait until its finished what is best to do and I'm very scared for my health. Suggest me best advice for my problems and health related issues for further pregnancy which we are planned after 18 months . And some nutrients also which I required for weakness after 2 unfortunate abortions.
I am a 24 years old girl. I got married 3 months back, but till now we have not started our sexual relationship, I am still a virgin and so is he. Ours is a love marriage and we both love each other a lot. Everytime we try to get physical everything goes well in foreplay but as soon as time comes I become cautious and am afraid of the pain I will get. We even tried many a times but am not able to bear the pain. Please help me to save my marriage.
I get married before six months. I am sex with my wife daily but still my wife is not get pregnant. Please give me suggestion for get pregnancy as soon as possible.
It's my 1st pregnancy I started my 6 month since 17 July I feel something in my tummy but can't recognize that are they really movements. Can you please tell me the movement types so that it get easy for me to understand as its my 1st time.
I had unprotected sex on my 15th day of cycle but my bf didn't finish inside me. Should I take a ipill? I already took ipill this month. please help. What should I do.
I am about 2 months pregnant can we do sex. Nd how many time we can do sex. Nd we have to sex with or without condom.
Effects of unwanted 72 taken 4 in between 20 days on periods What is the maximum time of period delay Expected date was 10 aug but period was not come yet.
Severe pain during intercourse causes difficulty in a relationship in both partners. Sometimes a sustained occurrence of pain might be an indication of some serious medical dysfunction. As such, consult a doctor as soon as the pain arises. Contrary to popular beliefs, sexual pain can occur in both male and female.
In female, the reasons behind the painful sexual intercourse might be:
- Vaginismus, a condition when the vaginal muscles tighten up mainly due to anxiety or fear and cause significant pain with a tearing sensation.
- The pain can arise due to vaginal infection due to yeast or any form of sexually transmitted disease or pelvic inflammatory diseases.
- A severe injury in the vagina during childbirth or any other accident and psychological stress can also cause severe pain during sex.
- Sometimes, uterine or menopause problems (formation of fibroids in the uterus) can also cause pain.
- Cyst formation in the ovary or endometriosis (when the inner tissue lining of the uterus tends to grow outside) can also cause severe pain during intercourse.
- Some men can experience pain during intercourse because of allergy to the fluids of the vagina or the chemical content of certain contraceptives.
- You can experience pain because of undiagnosed sexually transmitted diseases like herpes or gonorrhea
- The pain might also occur due to urinary tract infections or side effects from certain medications.
- Severe pain just a few moments before ejaculation can be a result of inflammation of the prostate glands and should be immediately diagnosed as it might be a signal of prostate cancer.
For treating pain during sex in female, you should opt for the following procedures
- If the pain is caused due to vaginal dryness after menopause, you should consider the application of prescribed lubricants or jellies to reduce the pain.
- If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.
- If there are other symptoms like severe bleeding or irregular periods in addition to the pain, a visit to the physician is recommended.
Quite similarly in men
- If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.
- If the pain results from side effects of certain medications, you should try changing your prescribed medication after doctor’s suggestion.
- In extreme cases, the doctors might suggest hormone replacement surgery. If you wish to discuss about any specific problem, you can consult a sexologist.